Choose your payment method and make the paymentThen complete the registration form (below Method 3)

Method 1: Pay securely online here from your PayPal account OR by debit or credit card.
You will need to set your web browser to allow cookies. Click here to find out how.Please choose the NEW Member Registration option @ £15 in the box below. The renewal option is only available to current 2016 members.

Fill out all the required fields and boxes and those applicable to you.

IF YOU MISS ONE AND PRESS “SEND”
THE FORM WILL RESET AND YOU’LL LOSE ALL THE ENTERED DATA

Email is our preferred way of contacting our membersIf you don’t have an email address, call 01733 351288 and speak to Pauline.

Payment

Required Payment method

Required Payment Receipt Number PayPal receipt: Copy and paste the Receipt No or Transaction ID from your PayPal payment confirmation emailTelephone receipt: Enter the last 4 digits Card Receipt given by the payment staffDive Site receipt: Enter the Receipt Number given by the payment staff

Contact

Required Email

Required First name

Required Last name

Required Member Check

Member Number

Required Gender MaleFemale

Required Date of birth (dd/mm/yyyy)

Required City or town

Required Post code

Required Preferred phone (H or M)

Alternative (H or M or Skype)

Profession or trade

Required Subscribe to our newsletter
We will not pass your details to any other companybut we may email you updates, news and developments

Diving status - Qualified or Not Qualified?

Applicable? Tick the box.I am not a qualified diver
but I am training with

Qualifications

Applicable? I am a qualified diver. Here are my qualifications.

Applicable? AIR Agency

Applicable? AIR Certification

Applicable? NITROX Agency

Applicable? NITROX Certification

Applicable? TECH Agency

Applicable? TECH Certification

Applicable? REBREATHER Agency

Applicable? REBREATHER Certification

Required Club or school

Applicable? Tick if you takeU/W PhotosU/W Videos

Professional instructors only

Applicable? Minimum professional declaration Tick all 7 boxes

I intend to teach in a professional capacity

I hold a current instructor certification

I hold a current HSE Certificate of Medical Fitness

I hold a current CPR Certificate

My diving equipment has been serviced in the past 6 months and I hold servicing verification certificates

I will complete and retain an Operations Record for each dive

I will have a Standby Diver and Surface Supervisor for each dive

ID photo for your member card

Upload your head and shoulders passport-style photo (smiling is OK)Crop it first to 2.8cm/106pixels wide by 3.8cm/144pixels highClick "Choose File" or "Browse" below (depending on your browser)
Select your photo from where you stored it in your PC
(If you encounter difficulties you can email it to ian@gildenburgh.com OR our dive site staff will take your photo. Enter the photo # in the box below.)

Applicable? Dive site photo #

Terms and conditions

The above information can be stored and used to contact me.

If I have not attached an ID photo to this form, or emailed it to ian@gildenburgh.com, I will need to have one taken at the dive site on my next visit to enable my member card to be produced.

I will show my member card when I check in or pay the non-member entry fee.

I will place the most current entry receipt in a visible position on the dashboard of my car to permit visual checks by dive site staff.

I dive at my own risk.

I dive in accordance with the safe diving practices of my certification agency.

I will regularly read, stay current with, and abide by the regulations, recommendations and procedures as published from time to time at the dive site and on this website, particularly those relating to emergency action.

In the event of a missing diver emergency, dive site staff may ask for suitably qualified divers to assist with the search and rescue. If I have been rescue trained, and have sufficient air and no-decompression time, I will be willing to assist.

Under 18?

Your parent or guardian must enter their name and relationship belowand tick the agreement box for you

Applicable? Name

Applicable? Relationship

Required I am 18 or older andI accept and agree to all terms

After you hit the 'Send' button below

You'll receive confirmation that ..."Your request for membership was sent successfully to ian@gildenburgh.com"and we’ll send you a confirmation email

Receiving your membership card

After you’ve paid for your membership, a PDF version of your member card will be e-mailed to you within 7-10 days. You can print off the member card and laminate it OR you can place it on a PDF compatible device such as a smart phone or tablet. Please present either the print out or electronic version of your membership card on the day you check in.